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�NVR with siblings��28th June 2019

Denise Wilson, Family Therapist

Dr Tanya Griffiths, Clinical Psychologist

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Introductions and Context

  • Who we are
  • Work context
  • Aims for today

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Research Background

  • Tucker and Finkelhor(2015)
    • Sibling conflict – frequent and mostly mild in nature
    • Approximately 4% report being severely victimised by their sibling
    • Sibling violence occurs more frequently than all other forms of child abuse
    • 11% of 12-year-olds reported being bullied by siblings several times a week

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Research Background

  • Sibling conflict and aggression is associated with a variety of internalizing and externalizing behaviours (Tucker et al., 2013)
  • Childhood sibling conflict and aggression is linked to negative adjustment in late adolescence and early adulthood (Bowes et al., 2014)
  • Young people who had been victimized by a sibling only or by both a sibling and parent were more likely to report peer victimization than young people who had been victimized by parents only (Tucker et al., 2014; Glatz et al., 2018)
  • Peer victimization was, in turn, linked to more aggression, criminality, and anxiety (Glatz et al., 2018)

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Implications for practice

  • Tucker & Finkelhor (2015)
    • Benefits to delivering social skills and mediation training leading to improved sibling relationship quality and development of children’s social skills.
    • Parent training in mediation of sibling conflicts is beneficial for preadolescent children’s sibling interactions.
    • Family violence and parenting training programs should incorporate information and support with regard to sibling conflict and aggression.

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Research background

  • Ideas drawn from Omer et al. (2008):
    • Raise parental presence
    • Break isolation
    • Notify siblings...and advise they will be protected.
    • Provide list of supporters.
    • Ask the victim for ideas of how they can be better protected.
    • However.... This is not done as part of a group and mainly the work with siblings was via parents.

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Research background

  • Dr Alan Cooklin (2013): Impact of Mental Health on Children.
  • Summary:
    • About a million children and young people are significantly affected by parent’s mental illness.
    • Children want someone to tell them what’s happening, an explanation in straightforward language.

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Research background

  • They want someone to talk to, that is not a counsellor.
  • They worry they are going down the same road.
  • They want to meet other children who are in similar situations.
  • They want to know how to help.

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Research background

  • Protective Factor
    • If the children have one good relationship with a friendly adult with whom they can discuss what is going on at home, then that itself is protection.

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Setting up the group

  • We run 8 to 10 week groups for parents
  • In addition one meeting with friends and family supporters.
  • And one meeting with professionals.
  • Over the course of several groups parents asked could we do a group for the siblings.

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Drawing from the Research

  • Reduce Isolation
  • Provide answers to why does my sibling behave like that.
  • Provide strategies for children to help in an NVR way.
  • Consider how supporters can become a protective influence.

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What we did

  • Set up group by age of children.
  • Tried to be child friendly ie bean bags
  • Introductions and house keeping
  • Activity
  • Describe your family
  • How brains develop differently

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What we did

  • Asked how the sibling’s behaviour affects them
  • Identified things to help
  • Asked them to name one thing they liked about their sibling

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Themes which emerged

  • Loss of childhood.
  • Disappointments.
  • Unable to confide in parents as they felt they were overwhelmed and their problems seem trivial to those of sibling.
  • Their needs are overlooked.
  • Parentified children.
  • Afraid of sibling.
  • Secondary Trauma.
  • Enjoyed being with other children in similar situations.

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What next?

  • Feedback to parents
  • Identifying a supporter
  • Referring on

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What next?

  • Who’s looking out for siblings?
  • Group exercise –

    • What has our work made you think about?
    • What work have you done with siblings with NVR?
    • Feedback

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References

  • https://blissfulkids.com/mindfulness-for-children-take-five-exercise
  • Bowes, L. N., Wolke, D., Joinson, C. J., Lereya, T. S., & Lewis, G. (2014). Sibling bullying and risk of depression, anxiety and self-harm: A prospective cohort study. Pediatrics, 134, 1032–39.
  • Cooklin, A. (2013). Promoting children’s resilience to parental mental illness: engaging the child’s thinking. Advances in psychiatric treatment, 19, 229–240.
  • Glatz, T., Källström, Å., Hellfeldt, K. et al. (2018). Physical Violence in Family Sub-Systems: Links to Peer Victimization and Long-Term Emotional and Behavioral Problems. Journal of Family Violence. https://doi.org/10.1007/s10896-018-0029-6

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References

  • Omer, H., Schorr-Sapir, I., & Weinblatt, U. (2008). Non-violent resistance and violence against siblings. Journal of Family Therapy, 30: 450-464.
  • Siegel, D. (2010). Mindsight: The New Science of Personal Transformation Paperback (Dan Siegel). Bantam: New York
  • Tucker, C. J. and Finkelhor, D. (2015). The State of Interventions for Sibling Conflict and Aggression: A Systematic Review. Trauma, Violence, & Abuse. 18: 4, page(s): 396-406 Downloaded on 20.06.19 from www.scholar.google.com.
  • Tucker, C. J., Finkelhor, D., Turner, H., & Shattuck, A. (2013). Association of sibling aggression with child and adolescent mental health. Pediatrics, 132, 79–84.
  • Tucker, C. J., Finkelhor, D., Turner, H., & Shattuck, A. (2014). Sibling and peer victimization in childhood and adolescence. Child Abuse & Neglect, 38, 1599–1606